DR. DANA SHAWN VITALE (D.O.) – Electrodiagnostic Medicine Physician, NPI 1164450524
Electrodiagnostic Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
520 EMERGENCY MEDICINE in NV
Provider Addresses for DR. DANA SHAWN VITALE (D.O.)
985 CANDY TUFT DR
HENDERSON, NV 890113002
Phone: (928) 897-2016
Type: Mailing
6900 N PECOS RD
NORTH LAS VEGAS, NV 890864400
Phone: (702) 791-9000
Type: Location
Kingman Regional Medical Center, 3269, Stockton Hill Road, Kingman, Mohave County, Arizona, 86409, United States
KINGMAN, AZ 864093619
Phone: (928) 757-0645
Type: Location
2837, Diamond Spur Street, Kingman, Mohave County, Arizona, 86401, United States
KINGMAN, AZ 864017848
Phone: (928) 897-2016
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-07-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20051024000515 | I | Emergency Medicine | AZ | TBD |
| I20200701003390 | I | Emergency Medicine | NV | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 87 | 86 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 46 | 46 | $0 |
| J7040 | Infusion, normal saline solution, sterile (500 ml = 1 unit) | 41 | 16 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 36 | 35 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 21 | 21 | $0 |
Insurance plans in this area (ZIP 89011)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Emergency Medicine | AZ | |
| Emergency Medicine | NV | |
| Emergency Medicine | OH | |
| Nurse Practitioner | NV | |
| Emergency Medicine | NV | |
| Emergency Medicine, Internal Medicine | NV | |
| - | NV | |
| Emergency Medicine | MI | |
| Emergency Medicine | FL | |
| Emergency Medicine | CA |
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